Individual provider Active NPI

Sheila Quinn, PA-C

  • Medical Physician Assistant
  • Reno, NV
National Provider Identifier
1700036506
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1085 Issued in NV
Practice address
640 W Moana LN Ste 2
Reno, NV 89509-4857
Phone
(775) 324-0633
Fax
(775) 323-6814
NPI assigned
Sep 29, 2008
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1085 NV Primary

Addresses

Primary practice location

640 W Moana LN Ste 2
Reno, NV 89509-4857

Mailing address

3950 G.S. Richards Blvd
Carson City, NV 87903-8457
Phone (775) 324-0633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081118000221 NV Practitioner - Physician Assistant 9931269107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne G Hayes Dermatology PCGroup PAC ID 7911130646, 4 clinicians

Practice addresses (Care Compare)

509 Hammill LN
Reno, NV 89511-1004
Phone (775) 332-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as group
Quality
95
Improvement activities
40
Cost
90.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1085NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Derm-Blackhart, PLLC CurrentSince Dec 1, 2016 Accepting new patients
Mountain West Derm - Blackhart PLLC CurrentSince Dec 1, 2016 Accepting new patients
Steven E Krause, MD LTD Past Accepting new patients
Scdi Surgery Center Past Accepting new patients

Locations

3950 Gs Richards Blvd
Carson City, NV 89703
Phone (775) 283-4080

3640 Warren Way
Ste 100
Reno, NV 89509

640 W Moana Ln
Reno, NV 89509
Phone (775) 882-8777

640 W Moana Ln
Ste 2
Reno, NV 89509

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1700036506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 G.S. RICHARDS BLVD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "879038457",
            "telephone_number": "775-324-0633",
            "fax_number": "775-323-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W MOANA LN STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094857",
            "telephone_number": "775-324-0633",
            "fax_number": "775-323-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "SHEILA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.